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Strontium citrate (Algaecal) and fractures
Osteoporosis & Bone Health | Last Active: Jan 23 11:05am | Replies (137)Comment receiving replies
@kathleen1314 not sure you read my post thoroughly. I tried strontium 18 years ago and would consider it after my other treatments, though the cardiovascular effects behind the short term cessation of approval in Europe for the ranelate form did concern me.
More radiologists should adjust the DEXA score for strontium so that improvements can be accurately assessed.
And yes for me it was too slow, but as a follow up to the meds that have helped me so far, I am considering it.
So far, even Keith McCormick , the oft cited author of "The Whole Body Approach to Osteoporosis" and "Great Bones," does not recommend strontium citrate. Clearly more studies are needed. One problem is that it is not a pharmaceutical, ironically, so produces aren't as regulated and ingredients in strontium may not be reliable.
Not sure why you asked if I feel pressured? I chart my own course and have a
"top doc" doctor who is flexible and caring. Osteoporosis meds have time limits and when I am done with low dose Reclast I am taking after Tymlos and 4 months of Evenity, I will need something to keep things going. So far, all my treatment doses have been customized due to various health issues.
Replies to "@kathleen1314 not sure you read my post thoroughly. I tried strontium 18 years ago and would..."
I am sorry if I misread or was less than thorough in my reading of your posting; what did I miss?
Cardio vascular: one population study of older more frail patients showed higher rates of CV Those results have never been able to be reproduced showed CV higher in strontium ranelate patients; Denmark and a couple of other sources tried to reproduce those results, no luck, no CV shown with strontium ranelate. That population study that showed SR with CV elevations is now considered by many a flawed study. Still I would never take strontium ranelate.
If strontium itself caused CV problems then it would seem that anywhere in the world where the ground water has plenty of strontium would have pockets of higher than usual CV problems. That is not the case.
Dexa readings, a now moot issue with REMS and TBS results: But to answer and not ignore your concerns: I personally do not feel the need for a radiologist to adjust my dexa score for strontium any more than they would for any other situation.
The dexa is easily adjusted by about a 10% overread on the first dexa (with a comparison of a no strontium dexa compared to now strontium dexa); then each successive dexa is measured by "is it continuing to get better" beyond 10%.
But frankly, this is a "moot" issue; REMS and TBS both show good bone density and bone quality for strontium users.
Keith McCormick : Why do you use the terminology EVEN Keith McCormick? Is he more likely than other doctors to recommend strontium, in your opinion?
Pressured? I asked "Are you feeling pressured to take strontium?" You seem to think that I meant doctors, ha, I am pretty sure that no USA doctor is pressuring you to take strontium.
Since you are not a strontium user, and you say above that you have a pharma plan mapped out, I was trying to understand where the posts and concerns were coming from about strontium ; I wondered if you felt "pressured" to take strontium by anyone.
I firmly believe that we should all take what makes us feel most comfortable with our decision. For me that is strontium and my now normal bone density plus no fractures or side effects continue to make me comfortable with that decision.
Your bone plan seems well thought out, and you seem comfortable with it. Let us know how it goes; I will celebrate any postitive changes with you.
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Do you have a strontium that has the most positive research,etc